Presentation
This paper reports a 13-year-old female patient who presented oligodontia with absence of twelve permanent teeth. [austinpublishinggroup.com]
Mild attrition was present with mandibular molars (Figures 1(a), 1(b), and 1(c)). Radiographic Findings. [hindawi.com]
Population studies on the prevalence of hypodontia suggest that majority (more than 80%) will present with one or two congenitally missing teeth and only less than 1% will present with six or more missing teeth [10]. [omicsonline.org]
Similar findings have been observed in the present case report. [ncbi.nlm.nih.gov]
Anodontia of deciduous and permanent dentition in mandibular arch, as observed in the presented case, is rare. Hypodontia presents with varied manifestations. [contempclindent.org]
Entire Body System
- Dentist
With your dentist, you can determine the best treatment plan and enjoy a healthy set of teeth. [colgate.com]
Therefore it is the responsibility of the dentist performing the oral habilitation to establish a diagnosis. [plus.rjl.se]
Dentists while encountering with such patients with oligodontia, a detailed case history, physical examination to rule out syndromic form of oligodontia, and radiographs should be done to diagnose the case. [jioh.org]
The restorative dentist must often act as a quarterback1 to coordinate multidisciplinary treatment approaches to patient care. [dentistrytoday.com]
Therapeutic management of patients with hypo/oligodontia requires a multidisciplinary team including the pediatric dentist, orthodontist, a specialist in prosthodontics, and a maxillofacial surgeon. [rarediseases.org]
- Surgical Procedure
procedures on the jaws, extraction of the preceding primary teeth, lack of necessary space imposed by a malformed jaw, and a genetically determined disproportion of tooth mass and jaw size. [ncbi.nlm.nih.gov]
Developing teeth are affected by environmental factors such as multiagent chemotherapy, radiation therapy, fractures, surgical procedures on the jaws, extraction of the preceding primary teeth, and lack of necessary space imposed by malformed jaws.1,2 [ispub.com]
Examples include jaw fractures, surgical procedures and extraction of the preceding deciduous tooth.[13] Treatment such as irradiation has been shown to have severe effects on developing teeth. [en.wikipedia.org]
- Developmental Delay
Missing teeth are a common trait in modern populations and it is often encountered by dental practitioners.[1] Eruption of some teeth may be developmentally delayed by a number of years after the established time and others may show evidence of development [ncbi.nlm.nih.gov]
All 3 children presented with ataxia and developmental delay, and were found to have microcephaly, short stature, oligodontia, strabismus, nystagmus, and congenital hip dislocation [23]. [wikigenes.org]
- Short Stature
All 3 children presented with ataxia and developmental delay, and were found to have microcephaly, short stature, oligodontia, strabismus, nystagmus, and congenital hip dislocation [23]. [wikigenes.org]
- Trisomy 21
[…] ectodermal dysplasia and immune deficiency (HED-ID), Oral facial digital syndrome type I (OFD1), Witkop tooth-nail syndrome, Fried syndrome, Böök syndrome (PHC), Hair- nail- skin- teeth dysplasias, Rieger syndrome, Holoprosen cephaly, Down's syndrome (trisomi [ispub.com]
Jaw & Teeth
- Microdontia
Generalized microdontia with spacing in the permanent dentition was appreciable (Figures 2(a), 2(b), and 2(c)). Radiographic Findings. [hindawi.com]
Oligodontia is often related with conical shaped teeth, microdontia, delayed eruption of permanent teeth, an increased freeway space and retention of deciduous teeth. [ncbi.nlm.nih.gov]
- Selective Tooth Agenesis
Genes Dev 1998; 12: 2735–2747. 21 Hu G, Vastardis H, Bendall AJ et al: Haploinsufficiency of MSX1: a mechanism for selective tooth agenesis. [nature.com]
A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat Genet 1996;13:417-421. [ Links ] 9. Boeira BR, Echeverrigaray S. Novel missense mutation in PAX9 gene associated with familial tooth agenesis. [scielo.br]
A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat Genet 13:417-421. Google Scholar | Crossref | Medline | ISI Zhang, J, Han, D, Song, S, Wang, Y, Zhao, H, Pan, S. (2011). [journals.sagepub.com]
Nucleic Acids Res ., 38, W563 – W568. 27.. (1996) A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat. Genet ., 13, 417 – 421. 28.. (2002) The role of MSX1 in human tooth agenesis. J. Dent. [academic.oup.com]
Axis inhibition protein 2 (AXIN2) polymorphisms may be a risk factor for selective tooth agenesis. J Hum Genet. 2006; 51:262–266. pmid:16432638 View Article PubMed/NCBI Google Scholar 30. Lan Y, Jia S, Jiang R. [journals.plos.org]
- Delayed Dentition
The following dental abnormalities were found: radiculomegaly, delayed dentition, oligodontia, root dilacerations (extension), and malocclusion [5]. [wikigenes.org]
"Hypodontia and delayed dentition as the primary manifestation of cleidocranial dysplasia presenting with a diagnostic dilemma". Case Reports in Dentistry. 2012: 262043. doi:10.1155/2012/262043. PMC 3540686. [en.wikipedia.org]
- Tooth Loss
One of the consequences may be an adult tooth intercepting with a baby tooth, causing premature loss or wrong positioning. [en.wikipedia.org]
Skin
- Eruptions
At the insertion appointment, the complete incisal edge of the maxillary permanent right central incisor had erupted in the oral cavity, so further widening of the window created to accommodate the erupting tooth was done. [contempclindent.org]
Orthodontic treatment should be aimed at improving the position of erupted teeth, guiding erupting permanent teeth and reducing the overbite. [10] Conclusion Every case of oligodontia should be reported so as to enhance the understanding of this rare [mjdrdypu.org]
Variation in tooth morphology is also observed along with problems in tooth development, eruption and exfoliation. [orpha.net]
A nonsense mutation in the b-catenin binding protein AXIN2 has recently been detected to cause familial oligodontia.[5,9] Oligodontia is associated with malformation of crowns, enamel hypoplasia, and failure of eruption. [ncbi.nlm.nih.gov]
The teeth #43 and 44 had supra-erupted into the opposing edentulous area, further accentuating the upward cant of the occlusal plane in this area. [oralhealthgroup.com]
- Sweating
Recent studies by Nordgarden (2001) have indicated that more than half of individuals with oligodontia also have symptoms from other organs of ectodermal origin such as low salivary secretion, decreased sweating capacity, sparse hair and dry skin, and [plus.rjl.se]
Tooth agenesis is often associated with a group of conditions affecting the development or function of the teeth, hair, nails and sweat glands called ectodermal dysplasias. [rarediseases.org]
Syndromic and non syndromic form of Oligodontia can be differentiated by conducting thorough physical examination of hairs, nails, sweat glands, eyes and to check for any congenital disorders. [ncbi.nlm.nih.gov]
Musculoskeletal
- Fracture
Missing teeth may be the result of numerous independent pathologic mechanisms that can affect the orderly formation of the dental lamina, failure of a tooth germ to develop at the optimal time, multi-agent chemotherapy, radiation therapy, fracture, surgical [ncbi.nlm.nih.gov]
Developing teeth are affected by environmental factors such as multiagent chemotherapy, radiation therapy, fractures, surgical procedures on the jaws, extraction of the preceding primary teeth, and lack of necessary space imposed by malformed jaws.1,2 [ispub.com]
Examples include jaw fractures, surgical procedures and extraction of the preceding deciduous tooth.[13] Treatment such as irradiation has been shown to have severe effects on developing teeth. [en.wikipedia.org]
Psychiatrical
- Suggestibility
Brook and Bailit suggested that hypodontia is an example of a “quasicontinuous” trait with a threshold mechanism. [hindawi.com]
This suggested that the extra amino acids may change the protein structure of MSX1 and affect its function. There are two possible explanations for this. [academic.oup.com]
The multiplicity of hypodontia theories suggest that missing teeth are strongly influenced by genetic factor. [en.wikipedia.org]
Further genotyping of the IVS2‐54A>G, IVS2‐109G>C, and IVS2‐41A>G mutations suggested that they can display polymorphic changes. [onlinelibrary.wiley.com]
This may suggest incomplete penetrance of oligodontia in this family. However, the novel mutation was identified only in the proband, and his parents did not carry the mutation (Fig 2). [journals.plos.org]
Neurologic
- Neglect
Oligodontia condition should not be neglected as it may result in various disturbances like abnormal occlusion, altered facial appearance which may cause psychological distress, difficulty in mastication and speech. [ncbi.nlm.nih.gov]
Treatment
[…] for the treatment. [oralhealthgroup.com]
For the prosthetic treatment planning; patient’s age, expectation of treatment of the patient, the condition of retained primary teeth, the number of missing teeth should be taken into account. [pulsus.com]
However, the patient did not turn up for completion of treatment. [mjdrdypu.org]
Mucosa borne removable prostheses are the commonly selected treatment options for the young patients who present with oligodontia or anodontia. [contempclindent.org]
Heuberer et al. [19] proposed dental implant treatment as viable treatment alternatives for compensating oligodontia in adolescents. [omicsonline.org]
Prognosis
Prognosis With proper dental treatment, patients can have normal dentition and orofacial functions The documents contained in this web site are presented for information purposes only. [orpha.net]
Because of the need for significant periodontal destruction before the involvement of furcation, taurodont teeth offers favorable prognosis from periodontal viewpoint. [15] In the permanent dentition, hypodontia was observed ranging from 1.6% to 9.6%. [jdrr.org]
"The prognosis of retained primary molars without successors: infraocclusion, root resorption and restorations in 111 patients". European Journal of Orthodontics. 36 (1): 26–30. doi:10.1093/ejo/cjs105. [en.wikipedia.org]
Etiology
The exact etiology for oligodontia is unknown. Management includes various restorative and orthodontic procedures to improve the esthetics and function. [banglajol.info]
This case report describes concomitant occurrence of tooth agenesis and taurodontism in a young Saudi girl and a brief review regarding the etiology, clinical features, and therapeutic aspects of have been mentioned. [jdrr.org]
The precise etiology of congenitally missing teeth is believed to originate from environmental or genetic factors during dental development. [dentistrytoday.com]
Although defects in certain genes have the highest incidence, etiological events in prenatal and postnatal periods have also been blamed for anomalies in tooth number, dimension, morphology, position, and structure [2]. [austinpublishinggroup.com]
It occurs with other dental anomalies such as microdontia, taurodontism, talon cusp, macrodontia, and gemination.[10] No definite etiologic relationship was found between oligodontia and systemic diseases or endocrine disturbances. [ncbi.nlm.nih.gov]
Epidemiology
Supernumerary and congenitally missing primary teeth in finish children: An epidemiologic study. Acta Odontol Scand. 1981;39:83–6. [PubMed] [Google Scholar] 5. Silvameza R. [ncbi.nlm.nih.gov]
Summary Epidemiology The prevalence of isolated oligodontia is unknown. In European populations the estimated prevalence of both syndromic and non-syndromic oligodontia varies from 1/625 to 1/1,250 depending on the studies. [orpha.net]
Community Dentistry and Oral Epidemiology. 32 (3): 217–226. doi:10.1111/j.1600-0528.2004.00158.x. ISSN 0301-5661. PMID 15151692. External links[edit] Classification D ICD-10: K00.0 ICD-9-CM: 520.0 MeSH: D000848 [en.wikipedia.org]
Pathophysiology
The pathophysiology and genetics of congenital lipoid adrenal hyperplasia. N Engl J Med 335: 1870, 2005. Article Google Scholar Andersson HC, Frentz J, Martinez JE, Tuck-Muller CM, Bellizaire J. Adrenal insufficiency in Smith-Lemli-Opitz syndrome. [link.springer.com]
Prevention
Prevention n/a Treatment Prevention of tooth loss through caries, periodontal disease and trauma. Multidisciplinary approach with Paediatric, Orthodontic and Restorative specialties. Management varies with stage of dental development. [en.wikipedia.org]
The diagnosis of hypodontia should be performed as early as possible in order to prevent aesthetic and functional problems in dentition. [ispub.com]
Developing malocclusion can be prevented if this condition is recognized and intervened in the earlier phase. Age of the patient plays a significant role in the management of the patient. [jdrr.org]
Early recognition is vital to provide adequate treatment and prevent squeal. Multidisciplinary referral or consultation is thus important in treatment planning to improve function and esthetics. [hindawi.com]
Kundu Renu1 1Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India 2Department of Oral & Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India 3Department of Pedodontics & Preventive [omicsonline.org]